Mary Conrad Center

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

MARY CONRAD CENTER

Practice address

9100 Centennial Cir
Anchorage, AK 99504-1480

Phone

(907) 333-8100

Fax

(907) 338-6789

NPI assigned

Jul 1, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jody Howorth

Title

Directory

Phone

(907) 269-3201

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538166863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 CENTENNIAL CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041480",
            "telephone_number": "907-333-8100",
            "fax_number": "907-338-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 CENTENNIAL CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041480",
            "telephone_number": "907-333-8100",
            "fax_number": "907-338-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CONRAD CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWORTH",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "DIRECTORY",
        "authorized_official_telephone_number": "907-269-3201"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LT0713",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marvin John Grendahl MD a Professional Corp.
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• Mary H Pomeroy (Children's Physical Therapy Services)
• Mary K Downs, MD
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• Mary P. Demers, D.O., & Associates, LLC
• Mary Pomeroy, LPT (Children's Physical Therapy Services)

• Pediatric Skilled Nursing Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pediatric Skilled Nursing Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.